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Hilton, the self-proclaimed "Queen of All Media," is openly homosexual. He is a former media relations assistant for the organization Gay and Lesbian Alliance Against Defamation. His blog, PerezHilton.com, features tabloid photographs, celebrity news and gossip. The website claims to receive over 300 million visitors per month.

Hilton was deemed Forbes Magazine's no. 1 Web Celeb from 2007 to 2009 and Hispanic Magazine's 2009 Hispanic of the Year. Hilton often receives criticism for posting slanderous and derogatory comments online, since he reports on the sexual orientation of celebrities and shows favoritism to his celebrity friends.

Hilton is the author of two best-selling books, "Perez Hilton's Red Carpet Suicide" and "Perez Hilton's True Bloggywood Stories," and a children's book, "The Boy With Pink Hair." He owns his own record label, Perezious Music. Hilton has a nationally syndicated daily radio show called Radio Perez, as of November 2015. He has appeared in two films and several reality television shows,

Hilton is the father of Mario Armando Lavandeira III and Mia Alma Lavandeira. Both children were conceived with donor eggs and carried by surrogate mothers.